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Application to nursing theory practice transitions theory paper
Transition theory nursing theories in practice
Transition theory nursing
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Extensive use of the word transition in nursing literature signals that it is a significant concept (Ralik, Visentin, Van Loon, 2006). It is essential for nurses to possess knowledge and understanding of transition. The purpose of this paper is to provide a comprehensive examination and explore the definitions and key elements of the concept of transition and show how gaining knowledge of transition can positively impact client care and the nursing profession. Understanding transition will help improve client care by teaching nurses how to assess for, and facilitate transition and develop health promotion initiatives. Ultimately, the goal is to have better outcomes for clients going through transition. Continued research and education benefits the nursing profession because gaining knowledge and a better understanding of transition helps guide the underlying standards that help nurses remain current and consistent in their delivery of care.
Defining Transition
There are several definitions and interpretations of transition. According to Ralik, Visentin and Van Loon, it’s meaning changes depending on the context in which it is being used (2006). A common definition of transition throughout a significant portion of the nursing literature is
that it is the passage or movement from one life phase, condition, or status to another. It is the movement and adaptation to change, rather than a return to a pre-existing state. Some of the literature expands on this definition, stating that transition is not only a passage or movement but also a time of inner re-orientation or transformation. Kralik, Visentin and Van Loon state that transition involves psychological processes through the movement and adaptation (2006).
There are different ty...
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...k. St. Louis, Missouri: Elsevier.
Kralik, D., Visentin, K., & Van Loon, A. (2006). Transition: a literature review. Journal Of Advanced Nursing, 55(3), 320-329. doi:10.1111/j.1365-2648.2006.03899.x
Meleis, A., Sawyer, L., Im, E., Messias, D., & Schumacher, K. (2000). Experiencing transitions: an emerging middle-range theory. Advances In Nursing Science, 23(1), 12-28.
Meleis, Afaf Ibrahim. Transitions Theory: Middle-range and Situation-specific Theories in Nursing Research and Practice. New York: Springer Publishing, 2010.
Schumacher, K., & Meleis, A. (1994). Transitions: a central concept in nursing. Image: Journal Of Nursing Scholarship, 26(2), 119-127.
Sparud-Lundin, C., Öhrn, I., & Danielson, E. (2010). Redefining relationships and identity in young adults with type 1 diabetes. Journal Of Advanced Nursing, 66(1), 128-138. doi:10.1111/j.1365-2648.2009.05166.x
Cronenwett et al emphasises the key competencies for nursing are not only providing patient centred care, ensuring safety, team work but also quality improvement, suggesting all nurses must embrace change. However embracing change can be difficult due to many barriers. Brown et al and Gerrish identify some of these barriers such as time constraints, communication issues and differences professional issues.
Transition shock or reality shock in the NGN is the stress faced whilst moving from the university study phase to hospital based professional practice (Kramer, Brewer & Maguire, 2013). The NGN faces various challenging t...
Schoening, A. M. (2013). From bedside to classroom: the nurse educator transition model. Nursing Education Research/Educator Transition, 34(3), 167-172.
Bridges’ model describes three stages that people are likely to experience within a transition that I have personally gone through
Parse, R. R. (1998). Living the art of Human Becoming. In The Human Becoming school of thought: A perspective for nurses and other health professionals (pp. 68-73). Thousand Oaks: Sage Publications.
Kirsebom, M., Wadensten, B., & Hedstrom, M. (2013). Communication and Coordination during transition of older persons between Nursing Homes and Hospital Still in Need of Improvement. Journal of Advanced Nursing, 69, 886—895. DOI: 10.1111/j.1365-2648.2012.06077.x.v
Walsh, M. (1997). The Nature of Nursing. In M. Walsh (ed.) (1997). Watson’s Clinical Nursing and Related Sciences. 5th Edition. London: Baillière Tindall.
The concept of person refers to the recipient of nursing care, such that no person is the object of care and no aspect of wellbeing is left out (Arnold & Boggs, 2001; Thorne, Canam, Dahinten, Hall, Henderson, & Kirkham, 1998). This not only includes disease and illness states, but also psychological, social and spiritual dimensions. Therefore, factors such as gender, lifestyle, behaviors, beliefs, values, coping skills, habits, perceptions and lived experiences are considered (Arnold & Boggs, 2011). This holistic and multi-centered approach also extends to families, communities, and populations (Schim et al., 2007). The concept of person is central to nursing theory and research, and is fundamental to the, “Code of Ethics for Registered Nurses,” as outlined by the Canadian Nurses Association (2008). In practice, ‘person’ is used to guide client teaching and nursing interventions (Kozier, Berman, Snyder, Buck, Yiu, & Stamler, 2014).
& Willis, E. M. explains the middle-range theories were first introduced in sociology in 1960’s then were offered in nursing in 1974 focusing on emerging disciplines because they were available to introduce through research in compare to grand theories. Middle-range nursing theory was established fifteen years later, and is reinforced by repeated criticism of the summary of grand theories and their difficulties in use to research and practice. The reason of middle-range theory is to define, clarify, and predict occurrences that easer to apply in practical situations, and potentially to direct nursing interventions, change circumstances of situations to improve the care and potentially best outcome. Focus on middle-range theory is supported by theoretical framework for research studies, tested by research and use in practice, and scientific end product expressing nursing knowledge. (McEwen, M. & Willis, E. M.,
Polit, D. F., & Beck, C. T. (2010). Essentials of Nursing Research (7th ed): Lippincott, Williams & Wilkins.
The metaparadigm encompasses the major philosophical orientations of a discipline, the models and theories that guide research, and the empirical indicators that operationalize theoretical concepts. The purpose or function of the metaparadigm is to summarize the intellectual and social mission of the nursing discipline and place boundaries on the subject matter of that discipline (McEwen & Wills, 2014). The four metaparadigm of the discipline of nursing are person or client, environment, health, and nursing (Parker, 2001). A person or client is the recipient of nursing care. The environment is the internal or external surroundings that affect the client. Health is the degree of wellness or well-being that the client experiences. The nursing concept refers to the attributes and actions
The transition from student to a qualified nurse can be a stressful and overwhelming ex-perience for many newly qualified nurses. This opinion is widely upheld throughout the literature with Higgins et al (2010) maintaining that many of the problems experienced are due to lack of support during this initial transition and a period of preceptorship would be invaluable.
McIntyre, M. & McDonald, C. (2014). Nursing Philosophies, Theories, Concepts, Frameworks, and Models. In Koizer, B., Erb, G., Breman, A., Snyder, S., Buck, M., Yiu, L., & Stamler, L. (Eds.), Fundamentals of Canadian nursing (3rd ed.). (pp.59-74). Toronto, Canada: Pearson.
Peterson, S. J., & Bredow, T. S. (2009). Modeling and role-modeling. In Middle range theories: Application to nursing research (pp. 235-251). Philidalphia, PA: Lippincott Williams & Wilkins.
The human becoming theory posits quality of life from each person's own perspective as the goal of nursing practice. It is a human science theory that views individuals as an open, unitary and free-willed beings that co-creates their health and interact with their environments. The human becoming theory views nursing as a basic science with a unique knowledge base. Parse defined unitary as the indivisible, unpredictable and ever-changing part of human that makes choices while living a paradoxical pattern of becoming in mutual process with the universe (Parse, 2004). Health is living one’s own chosen values; it is the quality of life experienced and described by the person and it cannot be given, guarded, manipulated, judged or diagnosed. It is a process of becoming that is unfolding and cannot be prescribed or described by societal norms but by the individual living t...